Organization
REGIONAL PET SCAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY WESTRICH (MANAGING PARTNER)
(847) 920-0500
Entity
Organization
Contact information
Practice address
2000 ALBURN DR, SUITE 100, BEACHWOOD, OH 44122-4314
(216) 464-1917
Mailing address
3733 PARK EAST DR, SUITE 100, BEACHWOOD, OH 44122-4338
(216) 292-9998
(216) 292-9799
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
1094IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2513855
—
OH
Enumeration date
07/21/2005
Last updated
02/07/2008
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